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Multiculturalism and Social Work | San Francisco State University

Determinants for the use of psychotropics among nursing home residents.

Author: Sorensen,-L; Foldspang,-A; Gulmann,-N-C; Munk-Jorgensen,-P
Author Background: Aarhus U Hospital, Dept of Psychiatric Demography, Inst for Basic Psychiatric Research, Risskov, Denmark
Date 2/2001
Type Journal
Journal Title: International-Journal-of-Geriatric-Psychiatry
Volume/Pages Vol 16(2): 147-154
Subject Matter Drug Therapy; Geriatric Patients; Nursing Homes; Prescribing Drugs, Aging, Denmark, Gender
Abstract Characterized the prescription pattern of psychotropics and identified diagnostic, behavioral, cognitive and performance characteristics associated with prevalent psychotropic drug use in 288 residents in Danish nursing homes. Prescribed daily medication was recorded from nurses' files. Staff members were interviewed about the resident's Activities of Daily Living, behavioral problems, orientation, communication skills and if the resident had any psychiatric disorder. Multiple logistic regression was used to select the items that determined the use of psychotropics. Results indicate that 56% of the residents received a psychotropic, 21% received neuroleptics, 38% received benzodiazepines and 24% received antidepressants. In the multivariate analysis, staff assessment of the resident's mental health was a determinant for the use of all types of specific psychotropics, whereas a GMS-AGECAT diagnosis only determined the use of neuroleptics. Behavioral problems were found to be a determinant for the use of neuroleptics and the use of benzodiazepines irrespective of the psychiatric diagnosis of the resident. Use of antidepressants was associated with male gender and increasing age. (PsycINFO Database Record (c) 2000 APA, all rights reserved)